Obesity Surgery

, Volume 28, Issue 1, pp 255–256 | Cite as

Chronic Disease Model of Shared Care after Obesity and Metabolic Surgery

  • Dimitri J. Pournaras
  • Richard Welbourn
Letter to Editor/LED Reply

We thank the authors for their interest in the IFSO global registry report and their comments on provision of long-term follow-up, a challenge largely unmet by healthcare systems in patients undergoing obesity and metabolic surgery [1, 2]. Given that long-term survival is expected and even improved afterwards, surgeons and programs need to work with other healthcare professionals to formulate and deliver appropriate follow-up pathways. There are lessons to be learned from other models of shared care such as transplant, cardiothoracic, endocrine and cancer surgery [3]. For example, after colorectal cancer resection surveillance colonoscopy, sequential imaging and oncology follow-ups are considered standard care. Post-operative care of bariatric surgery patients needs to be similarly embedded into different healthcare systems.

In the current 2013 UK National Health Service England Commissioning Policy, the surgical unit and the weight assessment and management clinics (WAMCs) share the...


Funding Declaration

The IFSO Global Registry Second Report was funded by the International Federation for Surgery for Obesity and Metabolic Disorders.

Compliance with Ethical Standards

Conflict of Interest

Dimitri J. Pournaras declares no conflict of interest.

Richard Welbourn declares support for attending conferences from Ethicon Endo-Surgery, consultancy fees from Novo Nordisk, funding of a Bariatric Clinical Fellow in Musgrove Park Hospital from Ethicon Endo-Surgery, outside the submitted work.


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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Department Upper GI and Bariatric SurgeryMusgrove Park HospitalTauntonUK

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